2PY-11118-80193
4 vaccinations
8 coded responses
37 check-ins
7 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 145 / NY
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Dry mouth, Oropharyngeal pain — Feeling: Good · Fatigue or tirednessFree text: Very dry mouth & slight sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-25
Survey response — day 7, dose 1MedDRA: Ear pain, Nasal congestion, Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Fatigue or tirednessFree text: Cold like symptoms; stuffy nose, slight sore throat, very slight ear painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-03-01
-
2021-03-08
Survey response — day 21, dose 2MedDRA: Back pain, Musculoskeletal chest pain, Myalgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Muscle pain left side neck to shoulder. Pain in posterior lower back between rib cage & ilium from spine to anterior near stomach just below ribs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Survey response — day 28, dose 2MedDRA: Herpes zoster, Office visit — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Symptoms not related to vaccine. Diagnosed as shingles. · Healthcare visit (other): Doctors office visitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Report sent to call center — day 28, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-03-22
-
2021-03-29
Survey response — day 42, dose 2MedDRA: Herpes zoster, Neuralgia, Telemedicine — Feeling: Poor · Get care from a doctor or other healthcare professionalFree text: Symptoms: Nerve pain & other side effects from shingles · Healthcare visit (other): Phone conversation with PCPMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Report sent to call center — day 42, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-17
- 2021-08-16
-
2021-11-05
Dose 3 — Moderna
- 2022-01-21
- 2022-01-21
- 2022-02-15
-
2022-04-25
Dose 4 — Moderna
-
2022-04-25
Survey response — day 0, dose 4MedDRA: No adverse event — Feeling: FairFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
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2022-10-24
Survey response — 6 months, dose 4MedDRA: Apathy, Fatigue, Medical counselling, Respiratory tract congestion, Somnolence — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Head and chest congestion, very tired, no ambition just wanted to sleep · Healthcare visit (other): Phone consultationMedDRA releases: 2024-11 · check-in free text available
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2022-10-24
Report sent to call center — 6 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-10-25
- 2022-10-25
- 2022-10-25
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2023-04-25
Survey response — 12 months, dose 4MedDRA: Oropharyngeal pain, Pain, Pyrexia, Sinus congestion — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Call center
3 call center cases
3 unsuccessful
2 waits over 3 months for a first call
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Very dry mouth & slight sore throat
Release 2 — day 7, dose 1
Systemic reaction (other): Cold like symptoms; stuffy nose, slight sore throat, very slight ear pain
Release 5 — day 21, dose 2
Symptoms: Muscle pain left side neck to shoulder. Pain in posterior lower back between rib cage & ilium from spine to anterior near stomach just below ribs.
Release 5 — day 28, dose 2
Symptoms: Symptoms not related to vaccine. Diagnosed as shingles.
Healthcare visit (other): Doctors office visit
Release 6 — day 42, dose 2
Symptoms: Nerve pain & other side effects from shingles
Healthcare visit (other): Phone conversation with PCP
Release 11 — day 0, dose 4
Release 12 — 6 months, dose 4
Symptoms: Head and chest congestion, very tired, no ambition just wanted to sleep
Healthcare visit (other): Phone consultation
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| HCVO | Medical counselling | · | · | ✓ |
| HCVO | Office visit | ✓ | ✓ | ✓ |
| HCVO | Telemedicine | ✓ | ✓ | ✓ |
| SD | Apathy | · | · | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Herpes zoster | ✓ | ✓ | ✓ |
| SD | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Neuralgia | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Somnolence | · | · | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Ear pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release